Individual provider · Type 1 NPI
Emma Jean Clark, LMP
Massage Therapist · Mountlake Terrace, WA
NPI number
1508917055
Active
Practice location
21907 64th Ave. W, Suite # 110
Mountlake Terrace, WA 98043
Fax (425) 673-1597
Mailing address
2445 140th Ave. NE, Suite B-105
Bellevue, WA 98005
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | MA00028464 (WA) |
Massage Therapist: An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.
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About NPI 1508917055
Emma Jean Clark, LMP's National Provider Identifier is 1508917055, issued on Jan 12, 2007. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Mountlake Terrace, WA. The record was last updated on Apr 28, 2009.